title: Bladder necrosis presenting with hematuria in a patient with sickle-cell disease.
abstract: We present an interesting case of bladder necrosis in an 11-year-old boy with sickle-cell disease. The patient initially presented with sudden onset of abdominal pain and went on to have gross hematuria with clots and severe dysuria. Cysto-urethroscopy revealed global hemorrhagic cystitis and a suprapubic catheter was inserted percutaneously during cystoscopy. The symptoms spontaneously resolved over several weeks and the child voids normally at last follow-up. Multiple bladder biopsies were taken and all were completely necrotic.
authors.affiliation: Department of Paediatric Urology, Institute of Urology, University College Hospital, London, UK. navjohal@hotmail.com
authors.forename: N S
authors.initials: NS
authors.lastname: Johal
authors.forename: D
authors.initials: D
authors.lastname: Desai
authors.forename: A
authors.initials: A
authors.lastname: Freeman
authors.forename: P M
authors.initials: PM
authors.lastname: Cuckow